183 LAFAYETTE STREET - SIGN PERMIT 183 Lafayette Street
Crown Real Estate
Permit Number
PERMIT MUST BE OBTAINED BEFORE BEGINNING 'WORK
APPLICATION MUST BE SUBMITTED IN DUPLICATE, ONE SET TO BE FILED WITH THE
PLANNING DEPARTMENT, AND ONE SET (WAMUG THE APPROVAL OF THE PLANNING
D PARTMENT) TO BE FILED WITH THE BUILDING INSPECTOR.
y.*Cos.n4 Location, Ownership, and Detail Must oe Correct, Complete
and Legible. Separate :application Required for Every Sign.
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Application for Permit to Erect a Sign
Salem., Massachusettsy �19 / .
TO THE G:IILOI:1.P: [:iSPECTOR: //_
The undersigne:i hereby applies for a per.mit to Erect, Alter , _ Repr.
a sign on tae following described building:
Location and No. A
JdL�=_ oning/Oistrict�_ .
Name of Property Owner -� V• ' �CGc�n�l.
Name of Sign Owner
Address��3
If Owner 1s a corporate bo y name of responsible officer_
Name of Licensed Sign Erector
Sale
Address License No.
Use of Building: 1st Floor rd Floor
2nd Floor 4th Floor
Type of Sign: Surface, Right Angles to 3uilding, Free Standin
Other (specify) eight: J X y
Sign Materials —
Sign Dimensions Sign Area
Existing Signs: Surface: _ Sign Area
Right Angles : Sign Area
Free-Standing Sign Area
Other, Sign Area
Signs to be Removed: Type /(f d' (u L Sign Area
Frontage: Building a�_FT/ Property
Signature of Uwner��a�.l y _
Signature of Owners Authorized Representative
Address /f-3
Estimated Cos
of New Work Telepnone �!!5�{)p•i �/N — Z
APPROVALS: ��— Signature of Property Owner
Salem Planning Department superintenoe7t or SE-zets historical ommrssior.
ON REVERSE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND
BUILDING ENTRANCE_
1 (?CAL. E ST-AI-E
I Sa8- /011 (e +iiFA
11�v. 04 Crowndand
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t�Lc� 12S Cr<XISTrNC
90\1AL kj>LV_t 31
P
6014 / rE J
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Please Note; Permit PCe: S20.00, unless
All Sign Applications Must Include the Following; the estimated cost of the Construction and
erection of signs is $3,000.00 or above, then
Detailed Scale Plan of Sign a fee of$6.00 per S 1,000.00 plus a 55,00
Q ,t application fee will he charged.
Color Samples �,t/v1op�/
Method of Attachment
Method of Lighting
Location of Sign on Building: Dr wing P
hot
o
Permit Fee - 520.00